<extend name="Public/base" />
<block name="body">
    <div class="main-title">
         <h2>{$meta_title}</h2>
    </div>
    <div class="tab-wrap with-padding">
       
        <div class="node-list">
            <div class="tab-pane in">
                <form action="__SELF__" method="POST" class="form-horizontal auth-form">
                 <input type="text" name="pid" value="{$pid}" />
                 <input type="text" name="id" value="{$data.id}" />
                   <div class="form-item cf">
                        <label class="item-label">所属缴费项</label>
                        <div class="controls">
                            <span class="text input-large form-control form-input-width" value="" >{$ititle}</span>
                        </div>
                    </div>
                   <div class="form-item cf">
                        <label class="item-label">缴费项名称</label>
                        <div class="controls">
                            <input type="text" class="text input-large form-control form-input-width" name="title" value="{$data.title}" placeholder="" >
                        </div>
                    </div>
                   <div class="form-item cf">
                        <label class="item-label">备注信息</label>
                        <div class="controls">
                            <input type="text" class="text input-large form-control form-input-width" name="remark" value="{$data.remark}" placeholder="" >
                        </div>
                    </div>
                    <br/>
                    <div class="form-item cf">
                         <div class="controls">
                             必选 <input type="radio" class="" name="setstate" value="1" checked="checked" />
                             可选 <input type="radio" class="" name="setstate" value="0" />
                         </div>
                     </div>
                    <input type="hidden" name="a_type" value="{$a_type}" />
                    <div style="margin-top: 20px;"></div>
                    <button type="submit" class="btn submit-btn ajax-post" target-form="auth-form">{:L("_SURE_WITH_SPACE_")}</button>
                    <button class="btn btn-return" onclick="javascript:history.back(-1);return false;">{:L("_RETURN_WITH_SPACE_")}</button>
                    <!-- <input type="submit" name=""/> -->
                </form>
            </div>
        </div>
    </div>

</block>
<block name="script">
    <script type="text/javascript" src="__STATIC__/qtip/jquery.qtip.min.js"></script>
    <link rel="stylesheet" type="text/css" href="__STATIC__/qtip/jquery.qtip.min.css" media="all">
    <script type="text/javascript" charset="utf-8">
        //导航高亮
        highlight_subnav('{:U('Pay/index')}');
    </script>
</block>
